Article record

老年卒中患者的功能性经口进食、进食相关生活质量与口腔健康相关生活质量：一项横断面研究

Functional Oral Intake, Eating-Related Quality of Life and Oral Health-Related Quality of Life in Older Adults with Stroke: A Cross-Sectional Study.

临床研究咽喉科IF 3.3Q1

文献信息

PMID	42793509
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Burak Manay 查看其他 10 位作者 Mustafa İbas；Özcan Sönmez；Mehmet Nuri Elgörmüş；Mehmet Şerif Önen；Gizem İbas；Hakan Parlak；Murat Ünsel；Alperen Şentürk；Ramazan Güven；Ramazan Ocal
作者单位	Department of Speech and Language Therapy, Faculty of Health Sciences, Istanbul Atlas University, 34403 Istanbul, Turkey. 查看其他 8 条单位信息 Department of Otolaryngology, Head and Neck Surgery, Istanbul Atlas University, 34403 Istanbul, Turkey.；Department of Internal Medicine, Faculty of Medicine, Istanbul Atlas University, 34403 Istanbul, Turkey.；Department of Physical Medicine and Rehabilitation, Istanbul Atlas University, 34403 Istanbul, Turkey.；Department of Otolaryngology, Bağcılar Training and Research Hospital, University of Health Sciences, 34200 Istanbul, Turkey.；Department of Anesthesiology and Reanimation, Faculty of Medicine, İstinye University, 34010 Istanbul, Turkey.；Department of Anesthesiology and Reanimation, Division of Intensive Care Medicine, Faculty of Medicine, Istanbul Atlas University, 34403 Istanbul, Turkey.；Department of Emergency Medicine, Faculty of Medicine, Istanbul Atlas University, 34403 Istanbul, Turkey.；Department of Otolaryngology, Head and Neck Surgery, Ankara Training and Research Hospital, University of Health Sciences, 06230 Ankara, Turkey.
期刊	Healthcare (Basel, Switzerland)
SCI 分区	Q1
IF	3.3
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

背景/目的： 口腔健康对于卒中后安全经口进食很重要。然而，口腔健康相关生活质量、功能性经口进食和进食相关生活质量之间的关系仍不清楚。本研究在老年卒中患者中检验了这些关联。方法：这项横断面观察性研究纳入了100名年龄≥65岁、接受经口进食（FOIS ≥ 4）的卒中成人。口腔健康相关生活质量采用老年口腔健康评估指数（GOHAI）和口腔健康影响程度量表-14（OHIP-14）进行评估，进食相关生活质量采用吞咽生活质量问卷（SWAL-QOL）的选定领域进行评估。进行了相关性分析、多元线性回归和探索性平行间接效应分析。结果：GOHAI与进食欲望的相关性最强（r = 0.632，p < 0.001），而OHIP-14与进食欲望呈最强的负相关（r = -0.603，p < 0.001）。FOIS与GOHAI呈正相关（ρ = 0.487，p < 0.001），与OHIP-14呈负相关（ρ = -0.571，p < 0.001）。进食欲望、食物选择和进食时间与GOHAI独立相关。探索性平行分析显示，FOIS与GOHAI之间通过这些进食相关领域的总体间接关联具有统计学支持（间接效应 = 2.7496，95% bootstrap CI 0.6070至4.9102），而单个特定间接效应均未得到支持。结论：功能性经口进食、进食相关体验和口腔健康相关生活质量显著相互关联。探索性发现提示通过进食相关领域存在总体统计学间接关联，但未建立时间或因果中介关系。

英文摘要

Background/Objectives: Oral health is important for safe oral feeding after stroke. However, the relationships among oral health-related quality of life, functional oral intake, and eating-related quality of life remain unclear. This study examined these associations in older adults with stroke. Methods: This cross-sectional observational study included 100 adults aged ≥65 years with stroke receiving oral feeding (FOIS ≥ 4). Oral health-related quality of life was assessed using the Geriatric Oral Health Assessment Index (GOHAI) and Oral Health Impact Profile-14 (OHIP-14), and eating-related quality of life using selected Swallowing Quality of Life Questionnaire (SWAL-QOL) domains. Correlation, multiple linear regression, and exploratory parallel indirect-effect analyses were performed. Results: GOHAI was most strongly correlated with Desire to Eat (r = 0.632, p < 0.001), whereas OHIP-14 showed the strongest negative correlation with Desire to Eat (r = -0.603, p < 0.001). FOIS was positively associated with GOHAI (ρ = 0.487, p < 0.001) and negatively associated with OHIP-14 (ρ = -0.571, p < 0.001). Desire to Eat, Food Selection, and Eating Time were independently associated with GOHAI. The exploratory parallel analysis showed a statistically supported total indirect association between FOIS and GOHAI through these eating-related domains collectively (indirect effect = 2.7496, 95% bootstrap CI 0.6070 to 4.9102), while no specific indirect effect was individually supported. Conclusions: Functional oral intake, eating-related experiences, and oral health-related quality of life were significantly interrelated. The exploratory findings suggest a collective statistical indirect association through eating-related domains without establishing temporal or causal mediation.